Sharon Pfleger

ORCID: 0000-0002-8588-6378
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About
Contact & Profiles
Research Areas
  • Pharmaceutical and Antibiotic Environmental Impacts
  • Urban Green Space and Health
  • Art Therapy and Mental Health
  • Health, psychology, and well-being
  • Antibiotic Use and Resistance
  • Community Health and Development
  • Musculoskeletal pain and rehabilitation
  • Pain Management and Opioid Use
  • Pharmaceutical Practices and Patient Outcomes
  • Climate Change and Health Impacts
  • Primary Care and Health Outcomes
  • Chemistry and Chemical Engineering
  • Global Health Workforce Issues
  • Advanced Nanomaterials in Catalysis
  • Q Methodology Applications
  • Human-Animal Interaction Studies
  • Behavioral Health and Interventions
  • Pediatric Pain Management Techniques
  • Healthcare and Environmental Waste Management
  • Health Systems, Economic Evaluations, Quality of Life
  • Telemedicine and Telehealth Implementation
  • Health Policy Implementation Science
  • Mental Health and Patient Involvement
  • Pharmaceutical studies and practices
  • Healthcare cost, quality, practices

NHS Highland
2015-2025

University of the Highlands and Islands
2024

Environmental Research Institute
2024

Robert Gordon University
2021-2024

National Health Service
2021-2023

Healthcare Improvement Scotland
2017

Abstract Objectives Antimicrobial resistance (AMR) is a vital One Health issue; the rational use of antimicrobials essential to preserve their efficacy. Veterinarians cite pressure from pet owners as contributor antimicrobial prescription. Engaging in stewardship could reduce this pressure. A short educational animation facilitate communication message. The impact on participant’s opinions relating prescribing and awareness AMR was assessed via randomized controlled trial. Methods survey...

10.1093/jacamr/dlae065 article EN cc-by JAC-Antimicrobial Resistance 2024-05-06

Active pharmaceutical ingredients (APIs) are continuously released via hospital effluents and have been shown to be toxic aquatic organisms, even at very low concentrations. Future risks human health might also emerge due accumulation of these compounds in food chains, through contamination water supplies propagation antimicrobial resistance (AMR). The ongoing global rise drug prescribing rates is increasing API concentrations environments. Current wastewater treatment plants (WWTPs)...

10.1016/j.jwpe.2023.103553 article EN cc-by Journal of Water Process Engineering 2023-02-20

Evidence on the health benefits of spending time in nature has highlighted importance provision blue and green spaces where people live. The potential for offered by exposure, however, extends beyond promotion to treatment. Social prescribing links with or social care needs community-based, non-clinical interventions improve wellbeing. Nature-based (NBSP) is a variant that uses health-promoting activities carried out natural environments, such as gardening walking. Much current NBSP practice...

10.1016/j.envint.2024.108801 article EN cc-by Environment International 2024-06-06

Chemical pollution is considered one of the nine planetary boundaries, and increasing evidence suggests that we are already operating outside this, risking irreversible environmental change.1Persson L Carney Almroth BM Collins CD et al.Outside safe space boundary for novel entities.Environ Sci Technol. 2022; 56: 1510-1521Crossref PubMed Scopus (301) Google Scholar Pharmaceutical chemicals vital components modern health care, but their contamination global waterways threatening human health,...

10.1016/s2542-5196(22)00309-6 article EN cc-by The Lancet Planetary Health 2022-12-01

Objectives This qualitative study explored public and prescriber awareness of pharmaceutical pollution in the water environment eco-directed sustainable prescribing (EDSP) as a mitigation strategy to reduce environmental impact Scotland. Design Focus groups perceptions topic. Common questions were asked through semistructured facilitation. digitally recorded transcribed verbatim using an artificial intelligence system, then anonymised thematically analysed NVivo software. Data iteratively...

10.1136/bmjopen-2024-088066 article EN cc-by-nc-nd BMJ Open 2025-01-01

Nature-based social prescribing such as “blue prescription” promotes public health and improvement of individuals with long-term conditions. However, there is limited evidence explaining the relationship contexts, mechanisms, outcomes implementing blue prescription programmes (BPPs) in care settings that could inform policy practice. We conducted a systematic realist review by searching PubMed, Web Science, PsycInfo, Scopus, MEDLINE, CINAHL for articles published English between January 2000...

10.1155/2023/6551521 article EN cc-by Health & Social Care in the Community 2023-04-05

The World Health Organization predicts that the number of older adults will nearly double between 2015 and 2050. Older are at a higher risk developing medical conditions such as chronic pain. However, there is little information about pain its management in especially those residing remote rural areas.To explore views, experiences, behavioural determinants regarding settings Scottish Highlands.Qualitative one-to-one telephone interviews were conducted with areas Highlands. interview schedule...

10.1007/s11096-023-01607-8 article EN cc-by International Journal of Clinical Pharmacy 2023-07-01

The presence of human pharmaceuticals in the aquatic environment is recognised internationally as an important public health and environmental issue. In Scotland, healthcare sustainability targets call for improvements to medicine prescribing use reduce healthcare's impact on environment. This proof-of-concept study aimed develop a framework knowledge support tool professionals, focussing pharmaceutical pollution. Nominal Group Technique was applied achieve consensus modelling factors...

10.1016/j.scitotenv.2024.176929 article EN cc-by The Science of The Total Environment 2024-11-01

Abstract Objective To evaluate the efficiency and effectiveness of a rural community pharmacy-based smoking-cessation counselling nicotine replacement therapy (NRT) initiative. Setting Community pharmacies in NHS Highland north Scotland. Key findings Most clients (77%) smoked cigarettes for an average 34 pack-years ranging from 1 to 174 pack-years. Almost three-quarters (73%) NRT prescribed was form patches. respondents (91%) claimed pharmacists' advice useful, most (65%) thought that...

10.1211/ijpp.15.2.0006 article EN International Journal of Pharmacy Practice 2007-06-01

Background: Patient information may assist in promoting shared decision-making, however it is imperative that the presented comprehensible and acceptable to target audience. Objective: This study sought explore acceptability comprehensibility of ‘Medicines Scotland: What’s right treatment for you?’ factsheet general public. Methods: Qualitative semi-structured telephone interviews were conducted with members An interview schedule was developed factsheet. Participants recruited by a...

10.18549/pharmpract.2017.04.1082 article EN cc-by-nc-nd Pharmacy Practice 2017-12-18

Pharmaceutical pollution is a globally recognised public health and environmental issue that can negatively affect aquatic organisms, impact on drinking water quality contribute to the spread of antimicrobial resistance. In this research, we developed first UK multi-criteria decision support tool (DST) for medical practitioners encourage eco-directed prescribing considers risk factors alongside considerations. The probabilistic DST, based Bayesian networks, implemented novel decision-making...

10.5194/egusphere-egu24-3577 preprint EN 2024-03-08

Abstract Background Evidence on the health benefits of spending time in nature has highlighted importance provision blue and green spaces people’s living environments. The potential for offered by exposure, however, extends beyond promotion to treatment. Social prescribing links people with or social care needs community-based, non-clinical interventions. aim is improve wellbeing. Nature-based (NBSP) a variant which uses health-promoting activities carried out natural environments, such as...

10.1101/2023.11.27.23299057 preprint EN cc-by-nc medRxiv (Cold Spring Harbor Laboratory) 2023-11-27

Although there is evidence of suboptimal outcomes in older people with chronic pain, little emphasis has been placed on those remote and rural settings.To describe the perspectives Scottish Highlands their pain management.Cross-sectional survey.NHS Highland, most geographical health board Scotland.Home-dwelling members public aged ≥70 years.Anonymised questionnaires were mailed to a random sample 1800 people. Questionnaire items demographics, nature any management regimens perceived...

10.1093/ageing/afz181 article EN Age and Ageing 2019-12-19

Background Recent evidence highlights the disproportionate rates of health inequality often experienced within remote and rural communities. Access to medicines communities may also prove problematic. Objective The aim was understand perspectives older people in most areas Scottish Highlands on issues accessibility healthcare, medicines-taking. Method Qualitative, semi-structured one-to-one interviews with 13 residents aged 65 years over Highlands. Interviews were audio-recorded, transcribed...

10.1007/s11096-018-0684-y article EN cc-by International Journal of Clinical Pharmacy 2018-07-09
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